CAJ | 학술논문

目的观察地佐辛三阴交穴注射超前镇痛治疗原发性痛经的临床效果. 方法选择临床确诊的原发性痛经患者64例,随机分为2组,每组32例. 观察组于月经来潮前2 d开始给予地佐辛三阴交穴注射,每天1次,连续注射5次为1个疗程,共治疗3个月经周期.对照组于月经来潮前2d开始给予氨芬羟考酮口服,每次1片,每天2次,连续服用5d为1个疗程,共服用3个月经周期. 观察2组治疗前与治疗后3,6个月的VAS评分、痛经症状评分及临床疗效. 结果 2组治疗前VAS评分、痛经症状评分比较差异均无统计学意义( P均<0.05);治疗后3,6个月,观察组VAS评分、痛经症状评分与治疗前及对照组比较差异均有统计学意义(P均<0.05). 观察组治疗后3,6个月总有效率均高于对照组(P均<0.05). 结论地佐辛三阴交穴注射超前镇痛治疗原发性痛经临床效果确切,近、远期有效率均高于药物治疗.
목적 관찰지좌신삼음교혈주사초전진통치료원발성통경적림상효과. 방법선택림상학진적원발성통경환자64례,수궤분위2조,매조32례. 관찰조우월경래조전2 d개시급여지좌신삼음교혈주사,매천1차,련속주사5차위1개료정,공치료3개월경주기.대조조우월경래조전2d개시급여안분간고동구복,매차1편,매천2차,련속복용5d위1개료정,공복용3개월경주기. 관찰2조치료전여치료후3,6개월적VAS평분、통경증상평분급림상료효. 결과 2조치료전VAS평분、통경증상평분비교차이균무통계학의의( P균<0.05);치료후3,6개월,관찰조VAS평분、통경증상평분여치료전급대조조비교차이균유통계학의의(P균<0.05). 관찰조치료후3,6개월총유효솔균고우대조조(P균<0.05). 결론 지좌신삼음교혈주사초전진통치료원발성통경림상효과학절,근、원기유효솔균고우약물치료.
Objective It is to observe the clinical effect of preemptive analgesia with Dizocine point injection at Sanyinjiao on primary dysmenorrhea.Methods 64 patients with primary dysmenorrhea were randomly divided into two groups, 32 cases in each group.The observation group was treated with Dizocine point injection at Sanyinjiao once per day at 2 days before men-struation, 5 times of injection were one treatment course and they were treated for 3 menstrunos cycle.The control group was treated with ammonia oxycodone by oral administration at 2 days before menstruation, one pill per time, 2 times per day, 5 days was one treatment course and they were treated for 3 menstrunos cycle.VAS scores, dysmenorrhea symptom scores before treatment and 3 and 6 months after treatment and clinical curative effect were observed in both groups.Results There was no significant difference in VAS scores, dysmenorrhea symptom scores before treatment in both groups( all P>0.05); In 3, 6 months after treatment, VAS score, dysmenorrhea symptom scores in treatment group were lower than that before treatment and in control group after treatment ( all P<0.05) .The total effective rates at 3 months and 6months after treatment in treatment group were higher than that in control group(all P<0.05).Conclusion Preemptive analgesia with Dizocine point injection at Sanyinjiao has a good effect on primary dysmenorrhea, and its nearly and forward effective rates were higher than that of drug treatment.